A better explanation of the CIN case

From: Ricardo Savaris (savaris@orion.ufrgs.br)
Mon Jun 9 16:41:58 1997


---------- > De:
> Para: OB-GYN-L@OBGYN.net
> Assunto: Explaining better the CIN case
> Data: Domingo, 25 de Maio de 1997 02:02
>
> Dear netters
>
> Thanks for your replies. But, as I noticed few of you asked me what was
the > stage from the first cone performed by LEEP (if it was Ia1 or Ia2), well
> thats the point, the pathologist could not tell how deep was the invasion
> due to the burning of the edges. (The guy must had done a BBQ)
>
> So, according to some protocols, considering that the stage was Ia2, and
> the patient's desire to have children, we could done one of the
following: > 1. Conization (free edges) + total histerectomy + linfonode sampling and
> tell her that it is not wise to have children
> 2. Conization + pregnancy as soon as possible + total histerectomomy
after > birth whenever possible
> 3. Leave her alone, let her have her children and follow up
> 4. Superovulate, crio the oocytes in a bank + total histerectomy +
> linfonode sampling and surrogate mother
>
> I would like to hear your opinions
>
> Ricardo Savaris, MD, MSc, TEGO
> Porto Alegre, Brazil
> savaris@orion.ufrgs.br
> 55 51 3301354
>




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